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Elopement Patterns and Caregiver Strategies / Allan M. ANDERSEN in Journal of Autism and Developmental Disorders, 50-6 (June 2020)
[article]
Titre : Elopement Patterns and Caregiver Strategies Type de document : Texte imprimé et/ou numérique Auteurs : Allan M. ANDERSEN, Auteur ; J. Kiely LAW, Auteur ; Alison R. MARVIN, Auteur ; Paul H. LIPKIN, Auteur Article en page(s) : p.2053-2063 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder Elopement Injury Mortality Wandering Index. décimale : PER Périodiques Résumé : The Interactive Autism Network (IAN) administered a survey to caregivers of children with Autism Spectrum Disorder (ASD) on their interventions for elopement behavior (EB). Data from 526 respondents were analyzed. Most families reported multiple interventions for EB and rated interventions overall as effective but burdensome. Several interventions such as fencing and window locks had favorable effectiveness/burden profiles. Tracking devices were used infrequently and rated as having low effectiveness. Behavioral specialists were commonly used, rated as effective, and most often provided by insurance. Medications were rated as having low effectiveness for EB, whether taken off-label for EB or for other reasons. Further study is needed to identify EB interventions that are effective, affordable, and easy to implement are needed. En ligne : http://dx.doi.org/10.1007/s10803-019-03961-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=425
in Journal of Autism and Developmental Disorders > 50-6 (June 2020) . - p.2053-2063[article] Elopement Patterns and Caregiver Strategies [Texte imprimé et/ou numérique] / Allan M. ANDERSEN, Auteur ; J. Kiely LAW, Auteur ; Alison R. MARVIN, Auteur ; Paul H. LIPKIN, Auteur . - p.2053-2063.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 50-6 (June 2020) . - p.2053-2063
Mots-clés : Autism Spectrum Disorder Elopement Injury Mortality Wandering Index. décimale : PER Périodiques Résumé : The Interactive Autism Network (IAN) administered a survey to caregivers of children with Autism Spectrum Disorder (ASD) on their interventions for elopement behavior (EB). Data from 526 respondents were analyzed. Most families reported multiple interventions for EB and rated interventions overall as effective but burdensome. Several interventions such as fencing and window locks had favorable effectiveness/burden profiles. Tracking devices were used infrequently and rated as having low effectiveness. Behavioral specialists were commonly used, rated as effective, and most often provided by insurance. Medications were rated as having low effectiveness for EB, whether taken off-label for EB or for other reasons. Further study is needed to identify EB interventions that are effective, affordable, and easy to implement are needed. En ligne : http://dx.doi.org/10.1007/s10803-019-03961-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=425 A Feasibility Randomized Clinical Trial of a Structured Function-Based Intervention for Elopement in Children with Autism Spectrum Disorder / Mindy C. SCHEITHAUER in Journal of Autism and Developmental Disorders, 51-8 (August 2021)
[article]
Titre : A Feasibility Randomized Clinical Trial of a Structured Function-Based Intervention for Elopement in Children with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Mindy C. SCHEITHAUER, Auteur ; Nathan A. CALL, Auteur ; J. LOMAS MEVERS, Auteur ; C. E. MCCRACKEN, Auteur ; Lawrence SCAHILL, Auteur Article en page(s) : p.2866-2875 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/psychology/therapy Behavior Therapy/methods Child Child, Preschool Feasibility Studies Female Humans Male Parents/psychology Treatment Refusal/psychology Applied behavior analysis Autism spectrum disorder Elopement Intervention Randomized clinical trial Treatment Index. décimale : PER Périodiques Résumé : Elopement is a common and dangerous concern in autism spectrum disorder (ASD). There is evidence that behavior analytic treatments can successfully treat elopement, but the research is limited due to small samples and treatment components varying across studies. The current study evaluated the feasibility of studying a manualized intervention for elopement, based on strategies from single-subject research, in a randomized clinical trial with 24 individuals with ASD. Results demonstrated that recruitment was feasible; the manual was acceptable to parents; and therapists followed the manual with high-integrity. Initial efficacy results measured by the Aberrant Behavior Checklist, Clinical Global Impression Scale, and a Home Elopement Safety Checklist suggested improvement in the treatment group that should be studied in future research. En ligne : http://dx.doi.org/10.1007/s10803-020-04753-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=453
in Journal of Autism and Developmental Disorders > 51-8 (August 2021) . - p.2866-2875[article] A Feasibility Randomized Clinical Trial of a Structured Function-Based Intervention for Elopement in Children with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Mindy C. SCHEITHAUER, Auteur ; Nathan A. CALL, Auteur ; J. LOMAS MEVERS, Auteur ; C. E. MCCRACKEN, Auteur ; Lawrence SCAHILL, Auteur . - p.2866-2875.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 51-8 (August 2021) . - p.2866-2875
Mots-clés : Autism Spectrum Disorder/psychology/therapy Behavior Therapy/methods Child Child, Preschool Feasibility Studies Female Humans Male Parents/psychology Treatment Refusal/psychology Applied behavior analysis Autism spectrum disorder Elopement Intervention Randomized clinical trial Treatment Index. décimale : PER Périodiques Résumé : Elopement is a common and dangerous concern in autism spectrum disorder (ASD). There is evidence that behavior analytic treatments can successfully treat elopement, but the research is limited due to small samples and treatment components varying across studies. The current study evaluated the feasibility of studying a manualized intervention for elopement, based on strategies from single-subject research, in a randomized clinical trial with 24 individuals with ASD. Results demonstrated that recruitment was feasible; the manual was acceptable to parents; and therapists followed the manual with high-integrity. Initial efficacy results measured by the Aberrant Behavior Checklist, Clinical Global Impression Scale, and a Home Elopement Safety Checklist suggested improvement in the treatment group that should be studied in future research. En ligne : http://dx.doi.org/10.1007/s10803-020-04753-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=453 An Investigation of Functional Communication Training and Schedule Thinning Using a Multiple Schedule on Elopement to Access Stereotypy / J. QUIGLEY in Journal of Autism and Developmental Disorders, 51-9 (September 2021)
[article]
Titre : An Investigation of Functional Communication Training and Schedule Thinning Using a Multiple Schedule on Elopement to Access Stereotypy Type de document : Texte imprimé et/ou numérique Auteurs : J. QUIGLEY, Auteur ; A. DOWDY, Auteur ; K. TRUCKSESS, Auteur ; A. FINLAY, Auteur Article en page(s) : p.3224-3234 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder Behavior Therapy Communication Humans Reinforcement Schedule Stereotyped Behavior Chained problem behavior Elopement Functional communication training Generalization Multiple schedules of reinforcement Signaled availability Stereotypy Index. décimale : PER Périodiques Résumé : Individuals diagnosed with autism spectrum disorder (ASD) who engage in stereotypy may also emit a prior, temporally contiguous, high-risk response to access stereotypic behaviors. For example, the participant in this study who was diagnosed with ASD engaged in a chained response that included elopement, often in unsafe locations, to access light switch flipping. Previous research indicates that functional communication training (FCT) with delay fading is a viable approach to reduce chained problem behavior. In this study, we extended previous research by (a) evaluating the generalized effect of FCT and schedule thinning using multiple schedule technology for an automatically maintained chained response, and (b) evaluating whether intervention effects maintained in the participant's optimal context. Results for the participant suggested that FCT with schedule thinning mitigated high-risk chained responding across settings and discrimination training using a multiple schedule assessment effectively signaled available and unavailable times for the participant to emit the chained response which matched the participant's natural schedule parameters. En ligne : http://dx.doi.org/10.1007/s10803-020-04788-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=453
in Journal of Autism and Developmental Disorders > 51-9 (September 2021) . - p.3224-3234[article] An Investigation of Functional Communication Training and Schedule Thinning Using a Multiple Schedule on Elopement to Access Stereotypy [Texte imprimé et/ou numérique] / J. QUIGLEY, Auteur ; A. DOWDY, Auteur ; K. TRUCKSESS, Auteur ; A. FINLAY, Auteur . - p.3224-3234.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 51-9 (September 2021) . - p.3224-3234
Mots-clés : Autism Spectrum Disorder Behavior Therapy Communication Humans Reinforcement Schedule Stereotyped Behavior Chained problem behavior Elopement Functional communication training Generalization Multiple schedules of reinforcement Signaled availability Stereotypy Index. décimale : PER Périodiques Résumé : Individuals diagnosed with autism spectrum disorder (ASD) who engage in stereotypy may also emit a prior, temporally contiguous, high-risk response to access stereotypic behaviors. For example, the participant in this study who was diagnosed with ASD engaged in a chained response that included elopement, often in unsafe locations, to access light switch flipping. Previous research indicates that functional communication training (FCT) with delay fading is a viable approach to reduce chained problem behavior. In this study, we extended previous research by (a) evaluating the generalized effect of FCT and schedule thinning using multiple schedule technology for an automatically maintained chained response, and (b) evaluating whether intervention effects maintained in the participant's optimal context. Results for the participant suggested that FCT with schedule thinning mitigated high-risk chained responding across settings and discrimination training using a multiple schedule assessment effectively signaled available and unavailable times for the participant to emit the chained response which matched the participant's natural schedule parameters. En ligne : http://dx.doi.org/10.1007/s10803-020-04788-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=453 Clinical outcomes of behavioral treatments for elopement in individuals with autism spectrum disorder and other developmental disabilities / Nathan A. CALL in Autism, 21-3 (April 2017)
[article]
Titre : Clinical outcomes of behavioral treatments for elopement in individuals with autism spectrum disorder and other developmental disabilities Type de document : Texte imprimé et/ou numérique Auteurs : Nathan A. CALL, Auteur ; Jessica P. ALVAREZ, Auteur ; Christina A. SIMMONS, Auteur ; Joanna E. LOMAS MEVERS, Auteur ; Mindy C. SCHEITHAUER, Auteur Article en page(s) : p.375-379 Langues : Anglais (eng) Mots-clés : Absenteeism Autism Spectrum Disorder/ therapy Behavior Therapy/ methods Child Child, Preschool Developmental Disabilities/ therapy Female Humans Male Retrospective Studies Treatment Outcome elopement treatment Index. décimale : PER Périodiques Résumé : The external validity of behavioral treatments for elopement (i.e. leaving supervision without permission) remains unclear because studies to date include only small samples ( n=1-3). This study quantified the overall effectiveness of behavioral treatments for elopement by retrospectively examining treatment data from all patients seen for the treatment of elopement at an intensive day treatment clinic ( n=11), irrespective of treatment success. Reductions in elopement from baseline to the final treatment for each participant demonstrate that behavioral intervention is a highly effective treatment for elopement, as determined by the large effect size (Cohen's d=1.18). En ligne : http://dx.doi.org/10.1177/1362361316644732 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475
in Autism > 21-3 (April 2017) . - p.375-379[article] Clinical outcomes of behavioral treatments for elopement in individuals with autism spectrum disorder and other developmental disabilities [Texte imprimé et/ou numérique] / Nathan A. CALL, Auteur ; Jessica P. ALVAREZ, Auteur ; Christina A. SIMMONS, Auteur ; Joanna E. LOMAS MEVERS, Auteur ; Mindy C. SCHEITHAUER, Auteur . - p.375-379.
Langues : Anglais (eng)
in Autism > 21-3 (April 2017) . - p.375-379
Mots-clés : Absenteeism Autism Spectrum Disorder/ therapy Behavior Therapy/ methods Child Child, Preschool Developmental Disabilities/ therapy Female Humans Male Retrospective Studies Treatment Outcome elopement treatment Index. décimale : PER Périodiques Résumé : The external validity of behavioral treatments for elopement (i.e. leaving supervision without permission) remains unclear because studies to date include only small samples ( n=1-3). This study quantified the overall effectiveness of behavioral treatments for elopement by retrospectively examining treatment data from all patients seen for the treatment of elopement at an intensive day treatment clinic ( n=11), irrespective of treatment success. Reductions in elopement from baseline to the final treatment for each participant demonstrate that behavioral intervention is a highly effective treatment for elopement, as determined by the large effect size (Cohen's d=1.18). En ligne : http://dx.doi.org/10.1177/1362361316644732 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 Preventing elopement in children with autism spectrum disorder / S. PEREIRA-SMITH in Autism Research, 12-7 (July 2019)
[article]
Titre : Preventing elopement in children with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : S. PEREIRA-SMITH, Auteur ; Andrea BOAN, Auteur ; Laura A. CARPENTER, Auteur ; M. MACIAS, Auteur ; A. LAROSA, Auteur Année de publication : 2019 Article en page(s) : p.1139-1146 Langues : Anglais (eng) Mots-clés : autism spectrum disorder elopement preventive measure Index. décimale : PER Périodiques Résumé : Reports of missing children with autism spectrum disorder (ASD) are common in the media, and elopement can lead to dire consequences. This study quantified the use of preventive measures that target elopement, plus identified child/family characteristics associated with elopement and the use of preventive measures. This cross-sectional study included 394 caregivers of children ages 2-17 years with ASD followed in an academic medical center's Developmental-Behavioral Pediatrics clinic. Details about elopement, preventive measure use, and sociodemographic characteristics were assessed via an investigator-designed, parent advocate-approved questionnaire, while pertinent clinical factors were extracted from patients' electronic health records. Two hundred and sixty-seven caregivers (68%) reported elopement by their child. Elopement risk was not associated with sociodemographic characteristics, nor with any specific comorbidity or neurobehavioral medication. Children with limited communication skills were more likely to have a history of elopement (OR 2.24, 95% CI 1.30-3.84; P = 0.004). The most common preventive measure used was lock(s) at top of doors (51%), while less than a quarter of families were using handicap permits, signs/visual markers, or tracking devices. Implementation of certain modifications was statistically associated with socioeconomic status and comorbidities of interest. In addition to supporting previous literature about the increased elopement risk in children with limited communication skills, this study is the first to reveal that caregiver use of numerous preventive measures varies widely. The associations noted with use of specific preventive measures can help guide recommendations for this dangerous comorbid symptom, and provide information needed for future studies to assess the efficacy of various preventive measures. Autism Res 2019, 12: 1139-1146. (c) 2019 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: Elopement, defined as leaving an area without permission and placing oneself in a potentially dangerous situation, is a behavior exhibited by many children with autism. There is little information about the use of various modifications that target elopement in the pediatric population. This study identifies child/family characteristics that were related to elopement and the use of modifications, and stresses the importance of counseling families of children with autism about elopement. En ligne : http://dx.doi.org/10.1002/aur.2114 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=402
in Autism Research > 12-7 (July 2019) . - p.1139-1146[article] Preventing elopement in children with autism spectrum disorder [Texte imprimé et/ou numérique] / S. PEREIRA-SMITH, Auteur ; Andrea BOAN, Auteur ; Laura A. CARPENTER, Auteur ; M. MACIAS, Auteur ; A. LAROSA, Auteur . - 2019 . - p.1139-1146.
Langues : Anglais (eng)
in Autism Research > 12-7 (July 2019) . - p.1139-1146
Mots-clés : autism spectrum disorder elopement preventive measure Index. décimale : PER Périodiques Résumé : Reports of missing children with autism spectrum disorder (ASD) are common in the media, and elopement can lead to dire consequences. This study quantified the use of preventive measures that target elopement, plus identified child/family characteristics associated with elopement and the use of preventive measures. This cross-sectional study included 394 caregivers of children ages 2-17 years with ASD followed in an academic medical center's Developmental-Behavioral Pediatrics clinic. Details about elopement, preventive measure use, and sociodemographic characteristics were assessed via an investigator-designed, parent advocate-approved questionnaire, while pertinent clinical factors were extracted from patients' electronic health records. Two hundred and sixty-seven caregivers (68%) reported elopement by their child. Elopement risk was not associated with sociodemographic characteristics, nor with any specific comorbidity or neurobehavioral medication. Children with limited communication skills were more likely to have a history of elopement (OR 2.24, 95% CI 1.30-3.84; P = 0.004). The most common preventive measure used was lock(s) at top of doors (51%), while less than a quarter of families were using handicap permits, signs/visual markers, or tracking devices. Implementation of certain modifications was statistically associated with socioeconomic status and comorbidities of interest. In addition to supporting previous literature about the increased elopement risk in children with limited communication skills, this study is the first to reveal that caregiver use of numerous preventive measures varies widely. The associations noted with use of specific preventive measures can help guide recommendations for this dangerous comorbid symptom, and provide information needed for future studies to assess the efficacy of various preventive measures. Autism Res 2019, 12: 1139-1146. (c) 2019 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: Elopement, defined as leaving an area without permission and placing oneself in a potentially dangerous situation, is a behavior exhibited by many children with autism. There is little information about the use of various modifications that target elopement in the pediatric population. This study identifies child/family characteristics that were related to elopement and the use of modifications, and stresses the importance of counseling families of children with autism about elopement. En ligne : http://dx.doi.org/10.1002/aur.2114 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=402